The Use of Opioids in the Management of Chronic Pain
Authors: James L. Sall, Friedhelm Sandbrink, Jennifer L. Murphy, Christopher Spevak, Ellen Edens
Journal: Annals of Internal Medicine (2023)

LettersSeptember 2023The Use of Opioids in the Management of Chronic PainJames L. Sall, PhD, Friedhelm Sandbrink, MD, Jennifer L. Murphy, PhD, Christopher Spevak, MD, MPH, JD, Ellen Edens, MD, MPEJames L. Sall, PhDEvidence Based Practice, Quality and Patient Safety, Veterans Health Administration, Washington, DCSearch for more papers by this author, Friedhelm Sandbrink, MDNational Pain Management, Opioid Safety, and Prescription Drug Monitoring Program, Veterans Health Administration, Washington DC VA Medical Center, and Department of Neurology, George Washington University, Washington, DCSearch for more papers by this author, Jennifer L. Murphy, PhDPain Management, Opioid Safety, and Prescription Drug Monitoring Program, Veterans Health Administration, Washington, DCSearch for more papers by this author, Christopher Spevak, MD, MPH, JDWalter Reed National Military Medical Center, Washington, DCSearch for more papers by this author, Ellen Edens, MD, MPEOpioid Reassessment Clinic, Yale Addiction Psychiatry Service, National TeleMental Health Center, VA Connecticut Healthcare System, West Haven, ConnecticutSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L23-0225 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE: We thank Dr. Cohen and colleagues for their thoughtful comments about the VA/DoD clinical practice guideline on the use of opioids in the management of chronic pain. We agree with person-centered care for everyone that is thoughtfully individualized on the basis of clinical need, setting, and preference. As Dr. Cohen and colleagues clearly state, the special population of active-duty service members may have particularly heightened opioid-related risks given their demographic characteristics, including young age and the need for mental acuity when in the line of duty. On the basis of our evidence review, no clear benefit from long-term ... Author, Article, and Disclosure InformationAuthors: James L. Sall, PhD; Friedhelm Sandbrink, MD; Jennifer L. Murphy, PhD; Christopher Spevak, MD, MPH, JD; Ellen Edens, MD, MPEAffiliations: Evidence Based Practice, Quality and Patient Safety, Veterans Health Administration, Washington, DCNational Pain Management, Opioid Safety, and Prescription Drug Monitoring Program, Veterans Health Administration, Washington DC VA Medical Center, and Department of Neurology, George Washington University, Washington, DCPain Management, Opioid Safety, and Prescription Drug Monitoring Program, Veterans Health Administration, Washington, DCWalter Reed National Military Medical Center, Washington, DCOpioid Reassessment Clinic, Yale Addiction Psychiatry Service, National TeleMental Health Center, VA Connecticut Healthcare System, West Haven, ConnecticutDisclaimer: The views expressed in this comment are those of the authors and do not reflect the official policy of the U.S. Departments of the Army/Navy/Air Force, DoD, VA, or U.S. government.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M22-2917. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Use of Opioids in the Management of Chronic Pain: Synopsis of the 2022 Updated U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline Friedhelm Sandbrink , Jennifer L. Murphy , Melanie Johansson , Juli L. Olson , Ellen Edens , Jamie Clinton-Lont , James Sall , and Christopher Spevak , for the VA/DoD Guideline Development GroupThe Use of Opioids in the Management of Chronic Pain Steven P. Cohen , Timothy C. Dawson , Paul F. Pasquina Metrics September 2023Volume 176, Issue 9 Keywords Opioids Pain Pain management Treatment guidelines ePublished: 19 September 2023 Issue Published: September 2023 PDF downloadLoading ...